Tahlequah, OK

Sequoyah Pointe Skilled Nursing And Therapy

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

614 E Cherrie Street, Tahlequah, OK

(918) 456-2573

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bridges Health

Operator or chain grouping

Approved since

1992-08-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

1.21

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.24

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

4.51

CMS adjusted total nurse staffing hours

Case-mix index

1.06

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,238

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.9

Composite VBP score used to determine payment impact.

Payment multiplier

0.9902

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.41% · Performance 21.21% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

7.92

Baseline 11.15% · Performance 5.97% · Measure score 7.92 · Achievement 6.25 · Improvement 7.92

Total nurse turnover

3.58

Baseline 62.26% · Performance 49.06% · Measure score 3.58 · Achievement 3.58 · Improvement 3.03

Adjusted total nurse staffing

3.26

Baseline 4.31 hours · Performance 4.01 hours · Measure score 3.26 · Achievement 3.26 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.43%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 104 · Observed rate 13.46% · Lower 95% interval 7.84%
Discharge to community	62.67%	50.57% 12.1 pts better	Better than the National Rate · Eligible stays 72 · Observed rate 56.94% · Lower 95% interval 52.43%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 58 · Denominator 58
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 58
Discharge self-care score	40.74%	53.69% 12.9 pts worse	Numerator 11 · Denominator 27
Discharge mobility score	29.63%	50.94% 21.3 pts worse	Numerator 8 · Denominator 27
Pressure ulcers or injuries, new or worsened	6.9%	2.29% 4.6 pts worse	Numerator 4 · Denominator 58 · Adjusted rate 8.97%
Healthcare-associated infections requiring hospitalization	5.97%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 3.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 57
Staff flu vaccination coverage	12.5%	42% 29.5 pts worse	Numerator 22 · Denominator 176
Discharge function score	55.56%	56.45% 0.9 pts worse	Numerator 15 · Denominator 27
Transfer of health information to provider	95%	95.95% 1 pts worse	Numerator 19 · Denominator 20
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	32.35%	25.2% 7.2 pts better	Numerator 11 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.7	2.3 1.4 pts worse	1.9 1.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.8 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.9 0.5 pts better	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	90.3% 5.3 pts better	93.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 91.5% · Q3 98.0% · Q4 100.0% · 4Q avg 95.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.4%	94.6% 1.8 pts better	95.5% 0.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	4.5% 1.1 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.1% · Q3 2.0% · Q4 5.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	3.3% 2.2 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 2.0% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	2.2%	3.6% 1.4 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 4.4% · Q4 0.0% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.0%	25.3% 2.7 pts worse	19.6% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 27.3% · Q3 26.1% · Q4 26.0% · 4Q avg 28.0%
Percentage of long-stay residents who received an antipsychotic medication	27.2%	18.6% 8.6 pts worse	16.7% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 25.8% · Q3 26.5% · Q4 27.0% · 4Q avg 27.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.6%	15.5% 1.9 pts better	16.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q4 16.3% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.8%	14.1% 8.3 pts better	14.9% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.5% · Q3 14.3% · Q4 0.0% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	2.1% 0.6 pts better	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 1.4% · Q4 1.5% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	2.8% 0.2 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.1% · Q3 4.1% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.5%	17.8% 3.3 pts better	19.8% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 10.4% · Q3 23.0% · Q4 11.1% · 4Q avg 14.5%
Percentage of long-stay residents with pressure ulcers	8.1%	5.1% 3 pts worse	5.1% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 12.0% · Q3 6.9% · Q4 6.5% · 4Q avg 8.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	75.0% 19.4 pts better	81.7% 12.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 90.6% · Q3 93.2% · Q4 98.1% · 4Q avg 94.4%
Percentage of short-stay residents who had an outpatient emergency department visit	12.7%	17.1% 4.4 pts better	12.0% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 12.2% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.8%	1.9% 2.9 pts worse	1.6% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.1% · Q3 8.6% · Q4 2.7% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.6%	74.0% 16.6 pts better	79.7% 10.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.7%	27.0% 4.7 pts worse	23.9% 7.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 32.7% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-08 · Fire 2025-01-08

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-11-02 · Fire 2023-11-02

7 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-06-01 · Fire 2022-06-01

11 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-27

F · Potential for more than minimal harm 2023-11-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-09

F · Potential for more than minimal harm 2022-06-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-06-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-01-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-21

D · Potential for more than minimal harm 2025-01-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-21

D · Potential for more than minimal harm 2025-01-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-21

F · Potential for more than minimal harm 2023-11-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-05

E · Potential for more than minimal harm 2023-11-02

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-05

E · Potential for more than minimal harm 2023-11-02

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-05

E · Potential for more than minimal harm 2023-11-02

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-05

D · Potential for more than minimal harm 2023-11-02

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-12-05

D · Potential for more than minimal harm 2023-11-02

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-12-05

D · Potential for more than minimal harm 2023-11-02

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-05

E · Potential for more than minimal harm 2022-06-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-29

E · Potential for more than minimal harm 2022-06-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-29

D · Potential for more than minimal harm 2022-06-01

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-06-29

Penalties and ownership